For office use only London

london@theMU.org
T 020 7840 5504
F 020 7840 5599

Your details (Please complete in block capitals and tick boxes, where appropriate, and return to the Freepost address overleaf)
Please tick the boxes below
How did you hear about us: Word of mouth Publications Internet Event Other for the details you want included
in our online Directory
Have you been a member before? Yes No

Title First names Surname or

Professional name (not band or company name) Date of Birth / /

Choose an address
for the Directory
Private address

Postcode
or
Invoice address (if different)

Postcode

Nationality (if not EU, please enclose proof of right to work in the UK)

Telephone

Mobile

Email address(es)

Website address(es)

Your instruments (including vocals)

1st 2nd

3rd 4th

Your earnings
In the last 12 months my gross earnings (ie before tax) from music, were: Less than £16,000 (Standard)
More than £16,000 (Premium)
For students
I declare I am in full-time education and enclose proof of my full time student status (Concessionary)

Your Signature
I agree to conform to and abide by the Rules of the MU (available from the Union or at theMU.org). I declare that
I agree to pay subscriptions in keeping with my earnings. I understand that I must declare my true earnings to
benefit fully from the Union’s services and that membership is for 12 months and on a yearly renewable basis.
To the best of my knowledge and belief the particulars declared above are true in all respects.

Signature of applicant Date

Please tick the relevant box if you do not wish to receive marketing from us or from our business partners

Complete one method of payment

To pay your annual subs by instalments via Direct Debit — complete and sign the form overleaf

To pay by Credit Card/Debit Card — complete the following (We do not accept Amex or Diners cards)

I agree to pay £78 (I am a full–time student) £160 (I earn less than £16,000 pa) £280 (I earn more than £16,000pa)

Visa Credit Visa Debit Mastercard UK Maestro Electron Solo

Card Number (For cards with 17+ numbers)

Start Expiry Security No Issue No. (ie Switch)

(Last 3 digits
on reverse)

Card Holder’s Name (as it appears on the card)

Card Holder’s Address (if different from your private address)

Postcode

Signature If paying by card you may fax, or scan and email, this form

To pay by Cheque complete your application and enclose a cheque made payable to ‘Musicians’ Union’
£78 (I am a full–time student) £160 (I earn less than £16,000 pa) £280 (I earn more than £16,000pa)
Originator’s Identification Direct debit instructions
No. 974030 N.B. If paying your subscriptions by Direct Debit, please note that while your application will be processed upon receipt and your
membership acknowledged by the MU, you will not receive your Membership Card and Public Liability Certificate for at least 14 days
while we set up your DD facility. We will continue to collect your subscriptions by DD until the instruction is cancelled.

Instruction to your Bank or Building Society to pay Direct Debits from your account

Please tick one box Monthly Quarterly Annually

I am a full–time student £6.50 £19.50 £78

I earn less than £16,000 pa £13.00 £39.00 £156

I earn more than £16,000 pa £23.00 £69.00 £276

Name of Account Holder

Address of Account Holder

Postcode

Name of Bank or Building Society

Address

Postcode

Bank/Building Society account number

Branch Sort Code

Instruction to your Bank or Building Society
Please pay Musicians’ Union Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee.
I understand that this Instruction may remain with Musicians’ Union and, if so, details will be passed electronically to my Bank/Building Society.

Signature of Account Holder Date

The Direct Debit Guarantee

— This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.
— If there are any changes to the amount, date or frequency of your Direct Debit the Musicians’ Union will notify you
10 working days in advance of your account being debited or as otherwise agreed. If you request the Musicians’
Union to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
— If an error is made in the payment of your Direct Debit by the Musicians’ Union or your bank or building society
you are entitled to a full and immediate refund of the amount paid from your bank or building society
– if you receive a refund you are not entitled to, you must pay it back when the Musicians’ Union asks you to.
— You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written
confirmation may be required. Please also notify us.
sw jj

How we will treat your information

The Musicians’ Union will obtain personal information from you when you register to become a member of the Musicians’ Union, make a purchase from
us, or enquire about our services. We will use your personal details and other information, in accordance with the preferences you have communicated
to us, to provide you with our current and future products and services, for administration and member services purposes (including the production of
the Musicians’ Union online Directory), for marketing and to ensure that the content, services and advertising that we offer are tailored to your needs
and interests. We may keep your information indefinitely for these purposes, so that we are able to continue to provide those aspects of the member or
non–member services which continue beyond the term of your membership or association with us (for example, if we are asked in the future to contact
you in respect of royalties). We may need to share your information with our service providers and agents for these purposes.
We may disclose personal data in order to comply with a legal or regulatory obligation. In addition, we may disclose your personal information,
including your status as a Musicians’ Union member, to third parties where we reasonably consider such disclosure to be for your benefit.
It is not our practice to sell or rent our mailing list information indiscriminately, however, on occasions, we may wish to share your information with
our business partners for marketing purposes. We or they may contact you by mail, telephone, fax, e-mail or other electronic messaging service
with offers of goods and services or information that may be of interest to you. By providing us with your fax number, telephone numbers or email
address you consent to being contacted by these methods for these purposes. If you do not wish to receive marketing information from us or
from our business partners or by any of these methods, please tick the relevant boxes on the membership application.
By providing us with your personal information, you consent to our processing your sensitive personal data, such as your Musicians’ Union
membership, for the above purposes. You also consent to our transferring your information to countries or jurisdictions which do not provide
the same level of data protection as the UK, if necessary for the above purposes. If we do make such a transfer, we will put a contract in place to
ensure that your information is protected. If you provide us with information about another person, you confirm that they have appointed you
to act for them, to consent to the processing of their personal data including sensitive personal data and that you have informed them of our
identity and the purposes (as set out above) for which their personal data will be processed.
You are entitled to ask for a copy of the information we hold about you (for which we may charge a small fee) and to have any inaccuracies in your
information corrected. For quality control and training purposes, we may monitor or record your communications with us. If your personal details
change, if you change your mind about any of your marketing preferences or if you have any queries about how we use your information, please let us
know by contacting the Assistant General Secretary (Finance & Administration), Musicians’ Union, 60—62 Clapham Road, London sw jj or email info@
theMU.org. This data protection notice may change and therefore you should check it regularly at theMU.org. We will of course notify you of any
changes where we are required to do so.

Political Fund: Trade union members need a political voice. Politicians make decisions that affect the lives of union members at work and at home.
Unions need to be able to influence those decisions. For that they have to have a Political Fund. If you don’t want to contribute to the MU Political Fund,
however, you don’t have to - you have the right to opt in or out of paying the levy whenever you want. For further details please contact the Union.

sw jj or from the Union’s website at theMU.org.

If you were encouraged to join by an existing MU member, please enter their details

Name Membership Number

To join the MU complete and return the Application Form in an envelope addressed to:
Freepost RRAU-SHZK-KEAE
Membership Administrator, Musicians Union (London),
60-62 Clapham Road
London SW9 0JJ 07/2010